Before you go, submit your EMS question for Jim below, and enjoy last weeks show below.

Comments

What are your thoughts on EMS employees who spend a great amount of their time undermining their current EMS employer, some going as far as begining talks with outside agencies that can come in and take business away from their current employers? I think this is a generational gap, I consider myself a seasoned EMS person with 21 years of EMS experience and 19 of those as a medic now working in administration. This attitude from newbie EMS providers is killing me. How do you suggest we can change this?

1. Protocol 500 A/B; Smoke inhalation & Cyanide Exposure – In table 2 where its a one bottle kit, why is the infant/toddler age dose of Hydroxocobalamin not cut in half from the two bottle kit (like the other age groups/dosages are)?

2. Protocol 553; Pediatric Non-Traumatic Cardiac Arrest – Option E – If we see a torsades rhythm, we have an OLMC option for Mag Sulfate (25-50 mg/kg IV/IO). We do not however dilute this in NS like we would in the adult administration of Mag Sulfate (503A VF/Pulseless VT & 505C VT with a Pulse, or even 507 Asthma & 540 OB Comp. Any particular reason?

New Microwave Medic covering needle decompression of tension pneumothorax. This 10 minute video talks about signs, symptoms, landmarks and procedures for treating a tension pneumothorax. Does your EMS agency use a commercial device to perform needle decompression or are you still doing it the old fashioned way?

I just had to post this as a special Jim Recommends resource. If you ever wonder who needs that Acute PCI transport and struggle with ECG, RBBB. LBBB and others this is a fantastic resource for you. Complete with a download file, great ECG samples and a clear breakdown on when to transport to a […]

While this is not 100% EMS related I know that many EMS professionals rely on their computers. This valuable service is actually one I have been using and recommend as a reseller and an end user. Here’s why – Did you know that this year alone over 33% of people world wide will lose some […]